Janay Williams

Individual provider Active NPI Behavior Technician · Dinwiddie, VA

NPI 1801314554 · NPPES record last updated Sep 1, 2017

Key facts

NPI
1801314554
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
12318 Boydton Plank Rd
Dinwiddie, VA 23841-2454
Phone
(434) 485-4763
NPI assigned
Sep 1, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician
Group: 193400000X SINGLE SPECIALTY GROUP
106S00000X Yes

Addresses

Primary practice location

12318 Boydton Plank Rd
Dinwiddie, VA 23841-2454

Mailing address

4103 Mallard Landing Cir Apt 301
Midlothian, VA 23112
Phone (757) 805-5112

Other providers in Dinwiddie, VA

All providers in Dinwiddie, VA · Behavior Technician in Virginia

Sources for this page

Verify at the official NPI Registry.